JP2015078223A - MECHANISM-BASED TARGETED PANCREATIC β CELL IMAGING AND THERAPY - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a composition useful in all diagnosis, prognosis and therapy to pancreatic diseases in mammals.SOLUTION: The invention provides a composition comprising an anti-diabetic agent, a chelating agent, and a chelated metal ion. A disease of pancreas is diabetes, an anti-diabetic agent is nateglinide, glipizide, glyburide or glimepiride, and a metal ion is β emitter, a chelating agent is diethylenetriamine pentaacetic acid (DTPA), and the chelated metal ion isRe,Y, orHo.

Description

(Background of the Invention)
In the United States, approximately 16 million people (6% of the population) have diabetes mellitus. Each year, about 800,000 new cases are diagnosed and an additional 6 million people remain unaware that they have the disease. Diabetes mellitus kills approximately 193,000 US residents each year, and diabetes mellitus is the seventh leading cause of all deaths and the sixth leading cause of all deaths caused by the disease. Is the cause. It continues to increase in children with type 2 diabetes. In Canada, over 2.2 million inhabitants (7% of the population) have diabetes mellitus, which causes more than 25,000 deaths annually.

  Pancreatic adenocarcinoma is the fifth most common cause of cancer death in the United States. In the United States, nearly 45,000 people suffer from pancreatic cancer each year. Cancer occurs most frequently in the head of the pancreas, often leading to biliary obstruction and clinically painless jaundice. The 5-year survival rate for resectable patients is about 10%, and the median survival is 12-18 months. Unresectable patients can only live about 6 months. Both diseases are associated with pancreatic function. Alternatively, the risk of pancreatic cancer is increased in diabetes that develops in adults.

  In the pancreas, the islets of Langerhans are composed of four cell types. Each of these cell types is a different polypeptide hormone (insulin (60%) in β cells, glucagon (25%) in α cells, somatostatin (10%) in D cells, pancreatic polypeptide (5%) in F cells). Is synthesized and secreted. Beta cells are the major type of cell in the pancreas. Certain nutrients and growth factors can stimulate pancreatic beta cell proliferation. However, the proper mitogenic signaling pathway in β cells is relatively undefined. This makes it impossible to define these important signaling pathways, at least in part due to the lack of effective imaging techniques.

  The current state of the art of imaging in pancreatic diseases has recently been reviewed by Non-Patent Document 1. Techniques described in this review include CT scans, MRI scans, EUS scans, and PET scans.

Kalra et al., Journal of Computer Assisted Tomography 26: 661-675.

The present disclosure addresses at least in part some of the shortcomings of the prior art by providing novel DTPA-antidiabetic drug conjugates useful for imaging beta cell function. Pancreatic function is monitored through the binding of radiolabeled conjugates to the pancreatic β receptor (eg, ^99m Tc-DTPA-antidiabetic drug conjugate detectable by gamma scintigraphy). Four DTPA-antidiabetic drug conjugates were synthesized and evaluated. Animal studies have shown that DTPA-nateglinide and DTPA-glipizide can selectively image pancreatic β cells and are not acutely toxic at a given dose. These agents are labeled with a radioisotope to assess β-cell function in diabetic or insulinoma patients both before and after treatment. These compositions and methods are useful for providing an initial diagnosis and for monitoring the response of pancreatic disease during treatment.

  The present invention may thus be described in certain embodiments as a composition comprising an antidiabetic agent and a metal ion that is chelated with a chelator. It is further understood that the composition can be a prodrug comprising an antidiabetic agent coupled to a chelator, to which a metal can be added. In such embodiments, various metals can be added to compositions suitable for various diagnostic or therapeutic applications, or compositions suitable for the various types of imaging described herein. The use of compositions containing metals or metal ions for in vivo imaging of mammalian tissues or organs (including human organs) is well known in the art and for specific types of detection. Any such use of a suitable metal is contemplated by the present disclosure.

  The compositions of the present disclosure may thus comprise a metal suitable for contrast enhanced imaging or scintigraphic imaging, PET imaging, MRI imaging, or even CT imaging. The metal may be a radionuclide (including a β emitter or a γ emitter), and if necessary, may be a magnetic metal ion or a paramagnetic metal ion. Preferred metals and metal ions for use in the described compositions and methods include, but are not limited to, the following metal ions and radioisotopes: iron, manganese, chromium, copper, nickel, gadolinium, erbium. , Europium, dysprosium, holmium, gallium, germanium, cobalt, calcium, rubidium, yttrium, technetium, ruthenium, rhenium, indium, iridium, platinum, thallium, samarium, or boron. The most preferred metal ions for imaging are technetium (Tc-99m), gallium (Ga-67, Ga-68), copper (Cu-60 to Cu-64), gadolinium (Gd), holmium (Ho-166). , Or rhenium (Re-187, Re-188), and preferred metal ions for therapeutic agents include yttrium radioisotopes, rhenium radioisotopes, copper and holmium radioisotopes.

  The chelator of the disclosed composition can be any suitable chelator known in the art. As this chelating agent, diethylenetriaminepentaacetic acid (DTPA), ethylenediaminetetraacetic acid (EDTA), cyclohexyl 1,2-diaminetetraacetic acid (CDTA), dimercaptosuccinic acid (DMSA), triglycine benzoylthiol (MAG-3) , Methylene bisphosphonate (MDP), ethylene glycol-0,0′bis (2-aminoethyl) -N, N, N ′, N′-tetraacetic acid (EGTA), N, N-bis (hydroxybenzyl) -ethylenediamine N, N′-diacetic acid (HBED), triethylenetetraamine hexaacetic acid (TTHA), 1,4,7,10-tetraazacyclododecane-N, N ′, N ″, N ″ ′-tetraacetic acid (DOTA) ), Hydroxyethyldiaminetriacetic acid (HEDTA), or 1,4,8,11-tetra-azacyclo Tetradecane -N, N ', N ", N"' - tetraacetic acid (TETA) include, but are not limited to. In the most preferred embodiment, the chelator is DTPA.

  The anti-diabetic agent of the disclosed invention can be any anti-diabetic drug known in the art, or any compound that preferentially binds or associates with pancreatic beta cells. The most preferred agents are those that bind to beta cell surface receptors, including various sulfonylurea receptors (eg, SUR-1, SUR2A and SUR2B), and other receptors (eg, GLP-1 receptor). Or somatostatin receptor). Preferred antidiabetic agents include nateglinide, L-nateglinide, repaglinide, tolbutamide, glibenclamide, amaril, glipizide, glyburide, gliclazide, glimepiride, most preferably nateglinide, glipizide, glyburide, or glimepiride.

In certain embodiments, the compositions of the invention can include any of the compounds or elements mentioned in any combination. Preferably, the composition of the invention may comprise ^99m Tc-DTPA-nateglinide, ^99m Tc-DTPA-glipizide, ^99m Tc-DTPA-glyburide or ^99m Tc-DTPA-glimepiride for gamma imaging.

  In certain embodiments, the present invention may be described as a method of treating pancreatic disease, wherein the method is used to subject a subject in need of treatment of pancreatic disease to a metal chelated with an antidiabetic agent and a chelator. Administering a composition comprising an ion, wherein the metal ion is a beta emitter. A subject in need of this treatment can include any animal or human subject that has or is susceptible to developing pancreatic disease. This pancreatic disease includes, but is not limited to, diabetes, pancreatitis, hyperinsulinemia or insulinoma. Subjects can be identified by various methods known in the clinical field. This method includes glucose load, insulin load, blood insulin level, blood glucose level, major histocompatibility complex type determination, specific antibodies, weight gain or weight loss, obesity, or even family history and genetic profile Monitoring.

  The compositions described herein are useful for both diagnosis, prognosis and treatment in many applications. Thus, certain embodiments of the present invention may be described as a method of imaging a mammalian pancreas comprising a composition comprising an antidiabetic agent and a metal ion chelated with a chelator. Administering an object to a mammal, and detecting an image of the pancreas. As described, the image can be a gamma image, a PET image, an MRI image, or other type of image known in the art.

  Exemplary methods include a method of monitoring pancreatic β-cell mass or shape in a mammal (useful for monitoring pancreatic status in susceptible subjects prior to the onset of pancreatic disease), or disease Examples include methods of monitoring progress or further monitoring the outcome of a particular therapy during the treatment or management of pancreatic disease. The methods of the invention can therefore be used to monitor beta cell mass, cell number, function or lymphocyte infiltration into the beta cell mass.

The present invention also provides the following items.
(Item 1)
A composition for imaging a pancreas, comprising an antidiabetic agent and a metal ion chelated with a chelating agent.
(Item 2)
The composition of claim 1, wherein the metal ion is effective for imaging with enhanced contrast when the composition is administered to a mammal in use.
(Item 3)
The chelating agents include diethylenetriaminepentaacetic acid (DTPA), ethylenediaminetetraacetic acid (EDTA), cyclohexyl 1,2-diaminetetraacetic acid (CDTA), ethylene glycol-0,0′bis (2-aminoethyl) -N, N , N ′, N′-tetraacetic acid (EGTA), N, N-bis (hydroxybenzyl) -ethylenediamine-N, N′-diacetic acid (HBED), triethylenetetraamine hexaacetic acid (TTHA), 1,4, 7,10-tetraazacyclododecane-N, N ′, N ″, N ″ ′-tetraacetic acid (DOTA), hydroxyethyldiaminetriacetic acid (HEDTA), 1,4,8,11-tetra-azacyclo-tetradecane- N, N ′, N ″, N ″ ′-tetraacetic acid (TETA), dimercaptosuccinic acid (DMSA), triglycine benzoylthiol (M Is a G-3) and methylene bisphosphonate (MDP), The composition of claim 1.
(Item 4)
Item 2. The composition according to Item 1, wherein the chelating agent is DTPA.
(Item 5)
Item 2. The composition according to Item 1, wherein the antidiabetic agent binds preferentially to the pancreatic β cells.
(Item 6)
Item 2. The composition according to Item 1, wherein the antidiabetic agent preferentially binds to the pancreatic β-cell sulfonylurea receptor SUR-1, angiotensin II receptor, or bradykinin receptor.
(Item 7)
Item 2. The composition according to Item 1, wherein the antidiabetic agent is nateglinide, glipizide, glyburide, or glimepiride.
(Item 8)
Item 2. The composition according to Item 1, wherein the metal ion is a radionuclide.
(Item 9)
Item 2. The composition according to Item 1, wherein the metal ion is a β emitter.
(Item 10)
Item 2. The composition according to Item 1, wherein the metal ion is a γ emitter.
(Item 11)
Item 4. The composition according to Item 1, wherein the metal ion is Tc-99m, Cu-60 to Cu-64, Gd, Ho-166, or Re-187, Re-188.
(Item 12)
^99m Tc-DTPA-nateglinide, ^99m Tc-DTPA-glipizide, ^99m Tc-DTPA-glyburide, or ^99m The composition according to item 1, further defined as Tc-DTPA-glimepiride.
(Item 13)
 A method of treating pancreatic disease, the method comprising the step of administering a composition comprising an antidiabetic agent and a chelating agent and a metal ion to be chelated to a subject in need of treatment of the pancreatic disease. Wherein the metal ion is a beta emitter.
(Item 14)
The metal ion to be chelated is ¹⁸⁸ Re, ⁹⁰ Y or ¹⁶⁶ 14. A method according to item 13, wherein the method is Ho.
(Item 15)
14. The method according to item 13, wherein the pancreatic disease is diabetes, pancreatitis, hyperinsulinemia or insulinoma.
(Item 16)
A method of imaging the pancreas of a mammal comprising the step of administering to the mammal a composition comprising an anti-diabetic agent and a metal ion that is chelated with a chelating agent, and Detecting the image.
(Item 17)
Item 17. The method according to Item 16, wherein the image is a γ image, a PET image, or an MRI image.
(Item 18)
The composition comprises ^99m Item 17. The method according to Item 16, comprising Tc-DTPA-nateglinide.
(Item 19)
A method of monitoring pancreatic beta cell mass or morphology in a mammal, comprising administering to the mammal a composition comprising an antidiabetic agent and a metal ion chelated with a chelator. And detecting an image of the pancreas.
(Item 20)
20. The method of item 19, wherein the metal ion is chelated to DTPA-nateglinide, DTPA-glipizide, DTPA-glyburide or DTPA-glimepiride.
(Item 21)
The composition according to item 1, further defined as a DTPA-antidiabetic drug kit.
(Item 22)
The method of item 1, wherein the method of treating diabetes uses a DTPA-antidiabetic agent.
(Item 23)
2. The method of item 1, wherein the drug delivery method is defined as an intravascular delivery method, a chewing gum delivery method or an aerosol delivery method.
(Item 24)
2. The method of item 1, wherein the imaging dose is defined as 0.1-5 mg / kit.

  Throughout this disclosure, unless the context indicates otherwise, the phrase “comprise” or variations thereof (eg, “comprises”, “comprising”) Means “includes, but is not limited to”, so that other elements not explicitly mentioned may also be included, including but not limited to It is understood that Further, unless the context indicates otherwise, use of the term “a (a)” or “this (that), the above” may mean a singular or an element, May mean one or more such things or elements.

The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present invention. The invention may be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein.
FIG. 1 is a synthesis scheme of metal- ( ^99m Tc, Gd) DTPA-NGN 2. FIG. 2 is a ¹ H-NMR spectrum of nateglinide. FIG. 3 is a ¹ H-NMR spectrum of NGN-Et. FIG. 4 is a ¹ H-NMR spectrum of NGN-EA. FIG. 5 is a mass spectrum of NGN-EA. FIG. 6 is a ¹ H-NMR spectrum of NGN2. FIG. 7 is a mass spectrum of DTPA-NGN2. FIG. 8 is a synthesis scheme of DTPA-GLP. FIG. 9 is ¹ H-NMR data of glipizide. FIG. 10 is a ¹ H-NMR spectrum of glipizide. FIG. 11 is ¹³ C-NMR data of glipizide. FIG. 12 is a ¹³ C-NMR spectrum of glipizide. FIG. 13 is ¹ H-NMR data of DTPA-glipizide. FIG. 14 is a ¹ H-NMR spectrum of DTPA-glipizide. FIG. 15 is ¹³ C-NMR data of DTPA-glipizide. FIG. 16 is a ¹³ C-NMR spectrum of DTPA-glipizide. FIG. 17 is a mass spectrum of DTPA-glipizide. FIG. 18 is a synthesis scheme of DTPA-glyburide. FIG. 19 is ¹ H-NMR data of glyburide. FIG. 20 is a ¹ H-NMR spectrum of glyburide. FIG. 21 is ¹³ C-NMR data of glyburide. FIG. 22 is a ¹³ C-NMR spectrum of glyburide. FIG. 23 is ¹ H-NMR data of DTPA-glyburide. FIG. 24 is a ¹ H-NMR spectrum of DTPA-glyburide. FIG. 25 is a ¹³ C-NMR spectrum of DTPA-glyburide. FIG. 26 is a synthesis scheme of DTPA-GLMP. FIG. 27 shows ¹ H-NMR data of GLMP. FIG. 28 is a ¹ H-NMR spectrum of GLMP. FIG. 29 shows ¹³ C-NMR data of GLMP. FIG. 30 is a ¹³ C-NMR spectrum of GLMP. FIG. 31 shows ¹ H-NMR data of DTPA-GLMP. FIG. 32 is a ¹ H-NMR spectrum of DTPA-GLMP. FIG. 33 is ¹³ C-NMR data of DTPA-GLMP. FIG. 34 is a ¹³ C-NMR spectrum of DTPA-GLMP. FIG. 35 is ITLC data for Tc-DTPA-NGN2. FIG. 36 is a nuclear imaging of ^99m Tc-DTPA-nateglide. Mice bearing breast tumors were imaged with ^99m Tc-DTPA (300 μCi, intravenous) (left) and with ^99m Tc-DTPA-NGN2 (300 μCi, intravenous) (right). Selected planar images of ^99m Tc-DTPA-NGN2 at 5 minutes and 50 minutes after injection are shown. The arrow indicates the pancreas. FIG. 37 is an image of a rat bearing a breast tumor imaged with ^99m Tc-DTPA-NGN2 (300 μCi, intravenous). Selected planar images of ^99m Tc-DTPA-NGN2 50 minutes after injection are shown. The arrow indicates the pancreas. FIG. 38 is a planar scintigraphic image of ^99m Tc-DTPA (300 μCi / rat, intravenous injection) in 13762 tumor-bearing rats. FIG. 39 is a planar scintigraphic image (2) of ^99m Tc-DTPA-NGN (300 μCi / rat, intravenous injection) in 13762 tumor-bearing rats. FIG. 40 is a planar scintigraphic image (1) of ^99m Tc-DTPA-NGN (300 μCi / rat, intravenous injection) in 13762 tumor-bearing rats. FIG. 41 shows breast tumor retention imaged with ^99m Tc-DTPA-NGN2 with ^99m Tc-DTPA (left), ^99m Tc-DTPA-NGN2 (middle), and a blocking dose of 4 mg / kg NGN2. It is an image of a rat (right figure) (300 μCi, intravenous). The selected planar image is shown 150 minutes after injection. FIG. 42 shows breast tumors imaged with ^99m Tc-DTPA-NGN2 (right), with ^99m Tc-DTPA (left), ^99m Tc-DTPA-NGN2 (middle), and a block dose of 4 mg / kg NGN2. It is an image of the possessed rat (300 μCi, intravenous). The selected planar image is shown 150 minutes after injection. The arrow indicates the pancreas. FIG. 43 is a planar scintigraphic image of ^99m Tc-DTPA and ^99m Tc-DTPA-glipizide (GLUCOTROL) in rats 5 minutes after injection (300 μCi / rat, intravenous injection). FIG. 44 is a planar scintigraphic image (300 μCi / rat, intravenous injection) of ^99m Tc-DTPA and ^99m Tc-DTPA-glipizide (GLUCOTROL) in rats 15 minutes after injection. FIG. 45 is a planar scintigraphic image of ^99m Tc-DTPA (1 mCi / rabbit, intravenous injection) in VX2 tumor-bearing rabbits. FIG. 46 is a planar scintigraphic image of ^99m Tc-DTPA-NGN (1 mCi / rabbit, intravenous injection) in VX2 tumor bearing rabbits. P indicates the pancreas. FIG. 47 shows ^99m Tc-DTPA and ^99m Tc-DTPA in breast tumor bearing rats (n = 3 / hour interval, 20 μCi, intravenous, p = 0.11, p = 0.05, and p = 0.01). -Graphs comparing pancreas uptake for NGN. FIG. 48 shows ^99m Tc-DTPA and ^99m Tc in breast tumor bearing rats (n = 3 / hour interval, 20 μCi / rat, intravenous, p = 0.19, p = 0.19, and p = 0.029). -Pancreas with NGN: graph of muscle count density.

(Detailed explanation)
The present disclosure relates to compositions and methods for in vivo β-cell imaging and the diagnosis of pancreatic-related diseases based on the discovery of delivery of drugs with therapeutic value specifically to pancreatic β-cells And compositions and methods that improve treatment. Examples of pancreatic-related diseases include, but are not limited to, diabetes, pancreatitis, insulinoma, adenocarcinoma, Langerhans islet cell tumor, islet hypertrophy in diabetes and hyperinsulinemia.

The present disclosure is based on the development of compositions and methods for mechanism-based β-cell targeting for imaging and therapeutic purposes. In preferred embodiments, the disclosed compositions comprise an antidiabetic agent, a chelating agent, and a metal ion that is optionally chelated. We have used pancreatic scintigraphic visualization in rat and rabbit animal models with such compositions, including ^99m Tc-DTPA-nateglinide (NGN) and ^99m Tc-DTPA-glipizide. Demonstrated success.

  The anti-diabetic agents of the present disclosure are preferably agents that interact preferentially with or bind to specific receptors on pancreatic beta cells. Such agents may bind to sulfonylurea receptors (including SUR1, SUR2A and SUR2B), GLP-1 receptor, somatostatin receptor, angiotensin II receptor, and / or bradykinin receptor. Preferred drugs include, but are not limited to, nateglinide, L-nateglinide, repaglinide, tolbutamide, glibenclamide, amaril, glipizide, glyburide, gliclazide, and glimepiride.

  In certain preferred embodiments, the chelator of the disclosed composition is diethylenetriaminepentaacetic acid (DTPA). Other chelating agents can also be used in the practice of this disclosure. Such chelating agents include ethylenediaminetetraacetic acid (EDTA), cyclohexyl 1,2-diaminetetraacetic acid (CDTA), ethylene glycol-0,0′bis (2-aminoethyl) -N, N, N ′, N'-tetraacetic acid (EGTA), N, N-bis (hydroxybenzyl) -ethylenediamine-N, N'-diacetic acid (HBED), triethylenetetraamine hexaacetic acid (TTHA), 1,4,7,10- Tetraazacyclododecane-N, N ′, N ″, N ″ ′-tetraacetic acid (DOTA), hydroxyethyldiaminetriacetic acid (HEDTA), 1,4,8,11-tetra-azacyclo-tetradecane-N, N ′ , N ″, N ″ ′-tetraacetic acid (TETA), dimercaptosuccinic acid (DMSA), triglycine benzoylthiol (MAG-3) and methylenebis Suhoneto (MDP) include, but are not limited to. Preferred metal ions for imaging include technetium (Tc-99m), gallium (Ga-67, Ga-68), copper (Cu-60 to Cu-64), gadolinium (Gd), holmium (Ho-166). ) Or rhenium (Re-187, Re-188); preferred metal ions for therapeutic agents include yttrium, rhenium, copper and holmium.

   Metal chelating agents useful in the present disclosure include cationic groups, basic groups, and basic amine groups, and chelate metals and metal ions, transition elements and transition element ions, and lanthanide-based elements and ions. A chelating agent which is For those skilled in the art, essentially any single atomic element or ion chelated by cationic chelating agents, basic chelating agents, and amine-containing chelating agents may also be useful in the present disclosure. it is obvious.

  The aqueous composition of the present invention comprises an effective amount of the above composition dissolved and / or dispersed in a pharmaceutically acceptable carrier and / or aqueous medium. “Pharmaceutically acceptable and / or pharmacologically acceptable” means an adverse reaction, an allergic reaction, and / or when administered to an animal (and / or human if appropriate). Refers to molecular entities and / or compositions that do not cause other undesirable reactions.

  As used herein, “pharmaceutically acceptable carrier” refers to any and / or all solvents, dispersion media, coatings, antibacterial and / or antifungal agents, isotonic and And / or an absorption retardant. The use of such media and / or agents for pharmaceutically active substances is well known in the art. Unless any conventional media and / or drugs are incompatible with the active ingredient, the use of those media and / or drugs in the composition is contemplated. Supplementary active ingredients can also be incorporated into the compositions.

  Aqueous carriers include water, alcoholic / aqueous solutions, physiological saline, parenteral vehicles (eg, sodium chloride, Ringer's dextrose) and the like. Intravenous vehicles can include fluid and nutrient replenishers. Preservatives can include antioxidants, chelating agents, and inert gases. The pH and exact concentration of the various components in the drug are adjusted according to well-known parameters.

  For the purposes of this disclosure, preferred metal ions are generally metal ions that are well known in the art to be useful for imaging techniques, such as gamma scintigraphy. , Magnetic resonance, proton emission tomography, and computer tomography, but are not limited to these. Metal ions useful for chelation in paramagnetic T1-type MRI contrast agent compositions and their use include metals selected from iron, manganese, chromium, copper, nickel, gadolinium, erbium, europium, dysprosium, and holmium Of divalent and trivalent cations. Chelated metal ions that are generally useful for radionuclide imaging and in radiotherapy compositions and uses include gallium, germanium, cobalt, calcium, rubidium, yttrium, technetium, ruthenium, rhenium, indium, Mention may be made of metal ions selected from iridium, platinum, thallium, and samarium. Metal ions useful in neutron capture radiation therapy can include boron and other metal ions with large nuclear cross sections. Metal ions useful in ultrasound and x-ray contrast compositions and uses thereof can include any of the metal ions listed above, provided that it achieves a sufficient site concentration, In particular, mention may be made of metal ions having an atomic number at least equal to iron.

The composition may be provided in a “cold” (no radioisotope label) state or provided with a label. A variety of radioactive labels may be used as appropriate for the particular application. For example, ^99m Tc labeling may be preferred for gamma imaging. ^{A 61} Cu label may be preferred for PET imaging. Gadolinium may be preferred for MRI. ¹⁸⁸ Re ( ¹⁶⁶ Ho) may be preferred for internal radiotherapy applications.

  The following examples are included to demonstrate preferred embodiments of the invention. The techniques disclosed in the following examples are those that were discovered by the inventors to work well in the practice of the present invention, and thus represent the techniques that are considered to constitute preferred solutions for the practice of the present invention. Should be recognized by those skilled in the art. However, one of ordinary skill in the art, in view of the present disclosure, may make many changes in the specific embodiments disclosed, and such changes may be similar or similar without departing from the spirit and scope of the invention. It should be recognized that results can still be obtained.

(Example 1)
(Synthesis of DTPA-nateglinide (DTPA-NGN))
DTPA-nateglinide was synthesized in a two-step manner. This synthetic scheme is shown in FIG.

(Step 1. Synthesis of aminoethylamide analog of nateglinide)
Nateglinide (3.1742 g, 10 mmol) was dissolved in 20 mL of ethyl alcohol. Thionyl chloride (5.1 mL, 70 mmol) was added dropwise to the above solution. The reaction mixture was stirred overnight and the solvent was evaporated under reduced pressure. 2 and 3 showed ¹ H-NMR of nateglinide and its ester form.

Ethyl alcohol (20 mL) and ethylenediamine (3.4 mL, 50 mmol) were added. The mixture was stirred overnight. The solvent was evaporated under reduced pressure. This solid was dissolved in chloroform (50 mL) and washed twice with water (50 mL). The chloroform layer was dried over anhydrous magnesium sulfate. The solvent was filtered and evaporated under reduced pressure. The aminoethylamide analog of nateglinide was obtained as a white solid (3.559 g, 99% yield). 4 and 5 show ¹ H NMR and mass spectrometry of the aminoethylamide analog of nateglinide.

(Step 2. Synthesis of DTPA-nateglinide)
Nateglinide aminoethylamide (359.5 mg, 1.0 mmol) was dissolved in DMSO (anhydrous, 10 ml). DTPA-dianhydride (178.7 mg, 0.5 mmol) and triethylamine (279 μL, 2.0 mmol) were added to the above solution and the mixture was heated at 60 ° C. for 4 hours. After cooling, water (8 mL) and 1N sodium bicarbonate solution (8 mL) were added. The mixture was stirred for 2 hours. The aqueous phase was dialyzed against a membrane (MW CO <500) for 2 days. DTPA-NGN (413.9 mg, 87.7% yield) was collected as a white solid after lyophilization. 6 and 7 showed ¹ H NMR and mass spectrometry of DTPA-nateglide.

(Example 2)
(Synthesis of DTPA-glipizide (DTPA-GLP))
Glipizide (445.5 mg, 1.0 mmol) was dissolved in DMSO (anhydrous, 10 ml). Sodium amide (76.03 mg, 2.0 mmol) was then added. The reaction mixture was stirred at room temperature for 10 minutes. DTPA-dianhydride (357.32 mg, 1.0 mmol) was dissolved in DMSO (anhydrous, 10 ml). Sodium amide (76.03 mg, 2.0 mmol) was then added. The reaction mixture was stirred at room temperature for 10 minutes. DTPA-dianhydride (357.32 mg, 1.0 mmol) dissolved in 5 ml DMSO (anhydrous) was added and the mixture was stirred for 4 hours. To the mixture was added water (10 mL) followed by 1N sodium hydroxide solution (3 mL) and stirred for 2 hours. The solid was filtered and washed with water. The recovered starting material was 142.6 mg (32%) after drying under reduced pressure. The aqueous phase was dialyzed against a membrane (MW CO <500) for 2 days. DTPA-GLP (506.6 mg, 61.7% yield) was collected as a white solid after lyophilization. This synthetic scheme is shown in FIG. 9-17 showed the ¹ H NMR spectrum, ¹³ C NMR spectrum and mass spectrometry of DTPA-glipizide.

(Example 3)
(Synthesis of DTPA-glyburide (DTPA-GLB))
Glyburide (494.0 mg, 1.0 mmol) was dissolved in DMSO (anhydrous, 5 ml). Sodium amide (195.0 mg, 5.0 mmol) was then added. The reaction mixture was stirred at room temperature for 10 minutes. DTPA-dianhydride (357.32 mg, 1.0 mmol) dissolved in 5 ml DMSO (anhydrous) was added and the mixture was stirred for 22 hours. Water (10 mL) was added to the dark green mixture after cooling, and then 1N sodium hydroxide solution (5 mL) was added and stirred for 2 hours. The solid was filtered and washed with water. The recovered starting material was 88.9 mg (18%) after drying under reduced pressure. The aqueous phase was dialyzed against a membrane (MW CO <500) for 2 days. DTPA-GLB (695.5 mg, 80% yield) was collected as a white solid after lyophilization. This synthetic scheme is shown in FIG. Figures 19-25 showed the ¹ H NMR spectrum, ¹³ C NMR spectrum and mass spectrometry of DTPA-glyburide.

Example 4
(Synthesis of DTPA-glimepiride (DTPA-GLMP))
Glimepiride (490.6 mg, 1.0 mmol) was dissolved in DMSO (anhydrous, 10 ml). Sodium amide (195.0 mg, 5.0 mmol) was then added. The reaction mixture was stirred at room temperature for 10 minutes. DTPA-dianhydride (357.32 mg, 1.0 mmol) dissolved in 5 ml DMSO (anhydrous) was added and the mixture was stirred for 18 hours. Water (10 mL) was added to the dark brown mixture after cooling, and then 1N sodium hydroxide solution (5 mL) was added and stirred for 2 hours. The solid was filtered and washed with water. The aqueous phase was dialyzed against a membrane (MW CO <500) for 2 days. DTPA-GLMP (782.3 mg, 90.3% yield) was collected as a white solid after lyophilization. This synthetic scheme is shown in FIG. FIGS. 28-34 showed the ¹ H NMR spectrum, ¹³ C NMR spectrum and mass spectrometry of DTPA-glimepiride.

(Example 5)
(Radiolabeled DTPA-antidiabetic agent conjugate)
^99m Tc-DTPA- radiation synthetic antidiabetic agent, the required amount of DTPA- antidiabetics (5 to 10 mg) and tin chloride _{(II) (SnCl 2, 100μg} ) and Pate clay sulfonates ^{(pertechnetate) (Na} 99m TcO ₄ , 5 mCi). Radiochemical purity was assessed by radioactive TLC (Bioscan, Washington, D.C.) using 1M ammonium acetate: methanol (4: 1) as eluent. A high performance liquid chromatography (HPLC) equipped with a NaI detector and a UV detector (254 nm) was run on a gel permeation column (Biosep SEC-S3000, 7.8 × 300 mm, Phenomenex, (Torrance CA). The eluate was 0.1% LiBr in phosphate buffered saline (PBS 10 mM, pH = 7.4). Radiochemical purity was <96% for all four drugs. The radioactive TLC of ^99m Tc-DTPA-nateglide is shown in FIG.

(Example 6)
(Scintigraphic imaging)
(Scintigraphic imaging in rodents was performed as follows)
Breast cancer cells derived from female Fischer 344 rats (150-175 g) (Harlan Sprague-Dawley, Inc., Indianapolis, Ind.), A 13762NF cell line (known as DMBA-inducible breast cancer cell line) (106 cells / Rats) were inoculated subcutaneously in the right leg. Scintigraphic imaging was performed continuously 14 days after inoculation. Planar images were obtained 0.5, 1 and 2 hours after injection of 300 μCi of ^99m Tc-DTPA-NGN or ^99m Tc-DTPA-GLP via the tail vein. The control group received ^99m Tc-DTPA. Imaging was performed using a gamma camera obtained from Digirad (2020 tc Imager, San Diego, Calif.) Equipped with a low energy parallel hole collimator. The field of view is 20 cm x 20 cm with a 1.3 cm edge. The intrinsic spatial resolution is 3 mm and the matrix is 64 × 64. This system is designed for planar images with a sensitivity of 56 counts / second (cps) / MBq and a spatial resolution of 7.6 mm. Figures 36-44 showed that the pancreas can be visualized with either ^99m Tc-DTPA-nateglinide (NGN) or ^99m Tc-DTPA-glipizide in normal and tumor-bearing rats.

(Scintillation imaging in rabbits was performed as follows)
Male (n = 4) New Zealand white rabbits (Raynichols Rabbitry, Lumberton, TX) were inoculated with VX-2 cells (rabbit-derived breast squamous cell carcinoma). On day 14 after inoculation, a scintigraphic imaging study was performed with ^99m Tc-DTPA-NGN (1 mCi, intravenous). The target computer non-target ratio was analyzed using the computer contour area of interest. Figures 45 and 46 showed that the pancreas can be visualized with ^99m Tc-DTPA-nateglinide (NGN). 47 and 48 showed that pancreas uptake was higher than the control group.

  In summary, the above imaging data showed that the pancreas can be imaged with radiolabeled nateglide and radiolabeled glipizide. Thus, changes in uptake in the pancreas can be assessed using this particular molecular marker.

  All of the compositions and methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the compositions and methods of the present invention have been described with reference to preferred embodiments, it is contemplated that the compositions and / or methods described above and herein can be used without departing from the concept, spirit and scope of the present invention. It will be apparent to those skilled in the art that changes may be applied in the method steps or sequence of steps described. More specifically, both chemically related and physiologically related specific agents can be substituted for the agents described herein and achieve the same or similar results. It is clear that Such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope and concept of the invention as defined by the appended claims.

Claims (7)

  A composition for treating pancreatic disease in a mammal, comprising an antidiabetic agent and a metal ion chelated with a chelating agent, wherein the metal ion is a β emitter, and the composition is applied to the mammal. A composition to be administered.   The composition according to claim 1, wherein the pancreatic disease is diabetes.   The composition according to claim 1, wherein the antidiabetic agent is nateglinide, glipizide, glyburide, or glimepiride.   The composition according to claim 1, characterized in that the chelating agent is diethylenetriaminepentaacetic acid (DTPA). The composition according to claim 1, wherein the metal ion to be chelated is ¹⁸⁸ Re, ⁹⁰ Y, or ¹⁶⁶ Ho.   The composition of claim 1, wherein the mammal is a human.   The composition according to claim 1, further defined as an antidiabetic drug kit.